Das Problem der Ossifikation und Implantat-Wanderung nach VEPTR (vertical expandable prosthetic titanium rib)-Implantation bei Kindern und Jugendlichen mit Thorax-Insuffizienz-Syndrom und Skoliose

Grönefeld, Bastian

dc.contributor.advisor	Hell, Anna-Kathrin Prof. Dr.	de
dc.contributor.author	Grönefeld, Bastian	de
dc.date.accessioned	2013-01-14T15:26:47Z	de
dc.date.available	2013-06-24T22:50:05Z	de
dc.date.issued	2012-06-26	de
dc.identifier.uri	http://hdl.handle.net/11858/00-1735-0000-000D-EFD8-C	de
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-1561
dc.format.mimetype	application/pdf	de
dc.language.iso	ger	de
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/	de
dc.title	Das Problem der Ossifikation und Implantat-Wanderung nach VEPTR (vertical expandable prosthetic titanium rib)-Implantation bei Kindern und Jugendlichen mit Thorax-Insuffizienz-Syndrom und Skoliose	de
dc.type	doctoralThesis	de
dc.title.translated	The problem of ossification and implant-migration after VEPTR (vertical expandable prosthetic titanium rib)-implantation at children and adolescent with thoracic insufficiency syndrome and scoliosis	de
dc.contributor.referee	Hell, Anna-Kathrin Prof. Dr.	de
dc.date.examination	2012-08-13	de
dc.subject.dnb	610 Medizin, Gesundheit	de
dc.subject.gok	MED 490	de
dc.description.abstracteng	Until now it was postulated - without scientific verification - that patients with VEPTR (vertical expandable prosthetic titanium rib) treatment get later and less ossifications than children with growing rod treatment because of the lower manipulation at the spinal column. This study is performed to evaluate the ossification rate, time of onset of ossifications, magnitude of ossifications in the course of treatment, correlations for the occurrence of ossifications for putative factors (underlying disease etc.) and potential consequences of ossifications in patients with VEPTR treatment. Fifty-seven patients had a primary longitudinal lengthening with use of a chest-wall distractor known as VEPTR. Repeat lengthenings of the prosthesis were performed at intervals of three to fourteen months. The mean age at the time of the primary operation was 7.7 years (range 1.3 to 18.3), the mean duration of follow-up was 29.8 months (range 1 to 101) and the mean number of operations was 5.9 (range 1 to 19). 1328 spine radiographs were analyzed with respect to the growth of ossifications and implant-migration respectively -avulsion and other complications/radiological parameters. The digital radiographs were measured with Centricity	de
dc.contributor.coReferee	Ludwig, Hans-Christoph Prof. Dr.	de
dc.subject.topic	Medicine	de
dc.subject.ger	Skoliose	de
dc.subject.ger	VEPTR (vertical expandable prosthetic titanium rib)	de
dc.subject.ger	Ossifikation	de
dc.subject.ger	Implantat-Wanderung	de
dc.subject.ger	Thorax-Insuffizienz-Syndrom	de
dc.subject.ger	Kinder	de
dc.subject.eng	scoliosis	de
dc.subject.eng	VEPTR (vertical expandable prosthetic titanium rib)	de
dc.subject.eng	ossification	de
dc.subject.eng	implant-migration	de
dc.subject.eng	thoracic insufficiency syndrome	de
dc.subject.eng	children	de
dc.subject.bk	44.83	de
dc.identifier.urn	urn:nbn:de:gbv:7-webdoc-3584-3	de
dc.identifier.purl	webdoc-3584	de
dc.affiliation.institute	Medizinische Fakultät	de
dc.description.embargoed	2013-06-24	de
dc.identifier.ppn	756705223

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